New Patient Paperwork

Welcome to our online patient forms. We hope these forms will make your paperwork easier. Please contact us if you have any problems. PLEASE NOTE: THIS SUBMISSION FORM WILL NOT WORK WITH INTERNET EMAIL (e.g., @yahoo.com, @hotmail.com, etc.). You must print off the form, complete, and bring to the clinic.

ALL INSURANCES, use this link: Patient Intake 2017

GENERAL INSTRUCTIONS:

If your browser is set up to open .pdfs in the browser, fill out the form, save it to your desktop, then email it to paperwork@denverptis.com

If your browser is set up to open .pdfs in Adobe Reader, fill out the form, print it and bring to your appointment. (If you can save it first, we recommend this).

If your browser is set up to open .pdfs in Acrobat, fill out the form, SAVE IT and hit the SUBMIT button.

If you do not receive confirmation within 8 hours that your form was received by email, please resend it to paperwork@denverptis.com.

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